Applicant
hereby grants permission to landlord and Bancentre to obtain a credit report
from a credit bureau. Credit references will be verified by landlord, and a
consumer credit report will be obtained. Applicant knows landlord cannot divulge
any information on credit report to applicant.I declare the
foregoing to be true under penalty of perjury:
Full Legal Name:
Current Address:
Previous
Address:

Phone Number: Social Security
Number:
Age or Birthdate: Email address: